Stephanie Melissa Otten Adcock, MD - Medicare Family Medicine in Dorchester, MA

Stephanie Melissa Otten Adcock, MD is a medicare enrolled "Family Medicine" physician in Dorchester, Massachusetts. Her current practice location is 637 Washington St, Dorchester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 825-9660.

Stephanie Melissa Otten Adcock is licensed to practice in Massachusetts (license number 1014716) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295362192.

Contact Information

Stephanie Melissa Otten Adcock, MD
637 Washington St,
Dorchester, MA 02124-3510
(617) 825-9660
(617) 288-7898



Physician's Profile

Full NameStephanie Melissa Otten Adcock
GenderFemale
SpecialityFamily Medicine
Location637 Washington St, Dorchester, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295362192
  • Provider Enumeration Date: 03/23/2020
  • Last Update Date: 11/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3173942810
  • Enrollment ID: I20230914000868

Medical Identifiers

Medical identifiers for Stephanie Melissa Otten Adcock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295362192NPI-NPPES
110166178AMedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 1014716 (Massachusetts)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stephanie Melissa Otten Adcock allows following entities to bill medicare on her behalf.
Entity NameBoston University Family Medicine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134166390
PECOS PAC ID: 0446154074
Enrollment ID: O20031125000010

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Entity NameCodman Square Health Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396808309
PECOS PAC ID: 8123013869
Enrollment ID: O20040420000859

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Melissa Otten Adcock is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Stephanie Melissa Otten Adcock, MD
637 Washington St,
Dorchester, MA 02124-3510

Ph: (617) 825-9660
Stephanie Melissa Otten Adcock, MD
637 Washington St,
Dorchester, MA 02124-3510

Ph: (617) 825-9660

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The bacteria Pseudomonas aeruginosa can cause serious and difficult to treat infections. The infection process involves the activation of toxic substances from the bacteria by a common protein in our cells.

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› Verified 2 days ago


Family Medicine Doctors in Dorchester, MA

Dr. Geoffrey Alan Modest, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 500 Columbia Rd, Dorchester, MA 02125
Phone: 617-287-8000    Fax: 617-282-8625
Valerie Efonda Sanders, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 250 Mount Vernon St, Dorchester, MA 02125
Phone: 617-288-1140    
Dr. Daniel Cagua-koo, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 250 Mount Vernon St, Dorchester, MA 02125
Phone: 617-288-1140    
Dr. Chinh Van Le, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2100 Dorchester Avenue, Family Medicine, Dorchester, MA 02124
Phone: 617-506-4970    Fax: 617-825-2352
Dr. Elise Marie Henricks, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 415 Columbia Rd, Dorchester, MA 02125
Phone: 617-740-8075    Fax: 617-740-8060
Glennon John Ogrady,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2100 Dorchester Avenue, Family Medicine, Dorchester, MA 02124
Phone: 617-506-4970    Fax: 978-686-4137
Sarah Christiane Phillips, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 415 Columbia Rd, Dorchester, MA 02125
Phone: 617-287-8000    

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